e-Cardsonline Member Registration Please fill in all you can Be sure to put SOMETHING where you see the (*)   I assure you that none of your personal information on this survey   will be made public. We gather such information ONLY to determine who our audience is. Eventually, when I get more programming done, we will be creating chat groups, travel groups, "pet lover" groups and the like. At that time, you may choose (or not) to share information with our members. * Your First Name Mr Ms Miss Mrs Middle Name or Initial * Last Name * Occupation Retired Student Professional Blue Collar White Collar Red Neck Other Occupation - if not Listed School or Employer Your Street Address * City * State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Wash DC Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Alberta BC Manitoba Mexico New Brunswick Newfoundland Nova Scotia Ontario Prince Edward Is Quebec Saskatchewan * Zip * Country * Birth Date Year Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Day Primary Phone Number Other Phone Primary FAX Second FAX * e-mail Address * InterNet Service Provider * Marital Status Not Am Happily EX'ed * Kids at home Zip 1-3 4-6 Catholic * Shoe Size Less 5-9 More Hippy * Color of Hair Light Dark Grey (ish) Female Ethnicity (Race) Asian Black Hispanic White Heinz 57 (American) Other Other Primary Language English French Spanish Southern Japaneese Other Other Education Blonde 12-15 BA/BS More Household Yearly Income Less $25-$50k $51-$70k More Usually On the WEB Day Evening Night Live There Usually On the Web Less 1-3 hrs 3-5 hrs More Please check the boxes that apply to your Web Likes Research Travel Educational Games Trash Other Please check the boxes for the stuff you have Digital Camera Video / Mike Girlfriend Boyfriend Fleas Other Please check the boxes for the stuff you WANT Digital Camera Video / Mike Girlfriend Boyfriend Dog Other Please type in anything you want (or not!) To receive your Username and Password CLICK SUBMIT NOW